Question:

Which one of the following is NOT used as a criteria in the Child-Pugh classification of liver disease to identify the risk categories?

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Recall the fixed five components of the Child-Pugh score: bilirubin, albumin, prothrombin time, ascites, and encephalopathy.
Updated On: Jul 7, 2026
  • Serum albumin
  • SGOT, SGPT ratio
  • Ascites
  • Prothrombin
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The Correct Option is B

Solution and Explanation

Step 1: Understanding the Question:
We need to identify which of the four listed parameters is NOT one of the components used in the Child-Pugh classification, a scoring system used to estimate the severity and prognosis of chronic liver disease.

Step 2: Key Formula or Approach:
The Child-Pugh score is built from a fixed, specific set of five clinical and laboratory parameters, so we need to recall exactly which five these are and check which of the given options falls outside that list.

Step 3: Detailed Explanation:
The five components of the Child-Pugh classification are: serum bilirubin, serum albumin, prothrombin time (or INR), the presence and severity of ascites, and the presence and severity of hepatic encephalopathy.
Serum albumin is one of the five official components, reflecting the liver's synthetic function.
Ascites is also one of the five components, reflecting the degree of portal hypertension and fluid retention.
Prothrombin time is likewise one of the five components, reflecting the liver's ability to produce clotting factors.
The SGOT to SGPT ratio (AST to ALT ratio) is a marker sometimes used to help suggest particular causes of liver disease, such as alcoholic hepatitis, but it is not one of the five parameters that make up the Child-Pugh score.

Step 4: Final Answer:
So the parameter NOT used in the Child-Pugh classification is the SGOT, SGPT ratio.
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